Pediatrics Medical Billing Services
Pediatric practices offer a range of services, including newborn care, well-child examinations, management of chronic conditions, and immunizations.
Every patient interaction necessitates accurate recording and age-specific categorization that evolves with the child’s development. RPM Medical Billing offers specialized pediatric billing services that streamline the billing process, minimize claim denials, and facilitate expedited and reliable reimbursements.
Regardless of whether you are an independent doctor, a member of a group practice, or manage many clinic sites, RPM simplifies billing, allowing your staff to concentrate on pediatric care.
Why Pediatric Practices Choose RPM
Pediatric billing requires a thorough understanding of child-specific codes, age-related service regulations, and regular revisions to insurance policies. RPM’s billing specialists are adept at managing these complications and remain informed about changing payer needs, encompassing vaccination delivery, developmental assessments, and Medicaid-specific billing intricacies.
Our team delivers:
- Experienced pediatric billing specialists familiar with newborn to adolescent care
- Expertise in ICD-10, CPT, and HCPCS codes for pediatric services
- HIPAA-compliant billing systems that protect sensitive family data
- Quick resolution of claim issues to avoid revenue interruptions
We understand the unique challenges pediatricians face when billing for sick visits, well exams, vaccines, ADHD management, and other recurring services.
Full-Service Pediatric Billing Support
RPM assists your clinic throughout the entire billing lifecycle, encompassing patient intake through payment posting. Our comprehensive billing solution encompasses:
- Insurance eligibility verification and pre-authorizations
- Pediatric-specific charge entry and medical coding
- Electronic and paper claims submissions
- Payment posting and reconciliation
- Denial tracking and appeals management
- Monthly reporting with key performance indicators
We work closely with your clinical and front office staff to minimize billing errors, reduce claim delays, and ensure every service is fully reimbursed.
Improve Revenue, Reduce Workload
Numerous pediatricians have challenges with insurance denials, vaccine billing inaccuracies, or overlooked modifier codes for same-day appointments. RPM’s pediatric medical billing services are tailored to address these issues, ensuring your clinic receives accurate and timely payments.
With RPM, you’ll benefit from:
- Up to 20% increase in collections
- Fewer denied claims due to proactive documentation and coding audits
- Faster payment cycles from insurance payers
- Less administrative burden on your in-house staff
We free up your resources so your team may focus on providing your patients with high-quality care rather than paperwork.
Pediatric Billing Expertise That Covers It All
Our experience spans the full range of pediatric services, including:
- Newborn care and NICU discharge coordination
- Routine well-child exams and immunizations
- Sick visit management and urgent care billing
- Behavioral health services, including ADHD and anxiety management
- Chronic illness and asthma billing
- Vaccine administration with proper VFC and private stock documentation
- Developmental screenings, lead testing, and school physicals
From bundled visits to split-bill services, RPM understands the nuances that pediatric billing demands.
Compatible With Your EMR
We integrate seamlessly with the most widely used pediatric EMR and EHR systems, including:
- Office Practicum
- eClinicalWorks
- Athenahealth
- AdvancedMD
- Kareo
- Practice Fusion
- DrChrono
- and more
Our staff integrates seamlessly into your current workflow, without disruption or retraining, to deliver enhanced outcomes.
What Makes RPM Different?
We not only submit claims but also oversee your whole revenue cycle with the accountability and precision that your pediatric practice merits. RPM offers:
- Dedicated U.S.-based billing experts available via phone or email
- Real-time reporting and total billing transparency
- Custom QA reviews and coding audits for compliance
- Timely follow-up and communication with insurance companies
We consider your practice as a partner. We are here to facilitate growth, alleviate stress, and enhance financial performance.
Let’s Talk Pediatric Billing
Are you ready to optimize your billing process and secure more consistent payments for the services you provide? With over 20 years of experience, RPM Medical Billing offers the expertise and reliability that pediatric practices rely on.
Contact us today to schedule a consultation and explore how our pediatric billing services can enhance the success of your clinic.
